Spontaneous Pyogenic Spondylitis and Possible Infective Endocarditis Caused by Aggregatibacter actinomycetemcomitans

Autor:	Naoko Yukihira, Takahiko Fukuchi, Hitoshi Sugawara, Takeshi Yamashita, Hiroshi Hori, Ai Kawamura
Rok vydání:	2021
Předmět:	Periodontitis biology business.industry Aggregatibacter Aggregatibacter actinomycetemcomitans General Medicine medicine.disease biology.organism_classification Microbiology Cardiobacterium Aortic valve replacement Infective endocarditis Internal Medicine medicine Endocarditis business Spondylitis
Zdroj:	Internal Medicine. 60:1621-1625
ISSN:	1349-7235 0918-2918
DOI:	10.2169/internalmedicine.5103-20
Popis:	Aggregatibacter actinomycetemcomitans, an etiological agent associated with periodontitis, endocarditis, and other infections, has rarely been implicated in spondylitis. A 70-year-old man with aortic valve replacement presented with a 4-month history of lower back pain and was diagnosed with spondylitis. Prolonged incubation of blood cultures and a biopsy yielded A. actinomycetemcomitans. Concurrent infective endocarditis (IE) was probable considering the infectious organism and the patients' prosthetic valve. The patient was treated with ceftriaxone and recovered well. Pyogenic spondylitis with possible concurrent IE may be caused by A. actinomycetemcomitans. Extended incubation and repeated cultures should be considered if Haemophilus spp., Aggregatibacter spp, Cardiobacterium spp, Eikenella spp, and Kingella spp. (HACEK) infection is suspected.
Databáze:	OpenAIRE
Externí odkaz:	https://explore.openaire.eu/search/publication?articleId=doi_________::39e97a6edfc3f728eea16ae32978ea6f https://doi.org/10.2169/internalmedicine.5103-20 Zobrazit plný text záznamu